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Purpose <p>The supportive care needs (SCNs) of people with comorbid cancer and dementia (PWCD) and their caregivers, as well as the barriers and facilitators to meeting those needs, represent an important and under-researched area. This review aimed to systematically examine the SCNs of PWCD and their caregivers, and to identify the barriers and facilitators to these needs being met.</p> Method <p>Systematic searches were performed on CINAHL, Medline, PsychINFO, Embase, and Web of Science, and included both controlled vocabulary and free text terms. This study employed thematic synthesis to analyse extracted data.</p> Results <p>Of 3095 records identified, 11 studies met inclusion criteria. SCNs for PWCD included dementia-inclusive care, continuity of care, and tailored communication. Caregiver SCNs included access to cancer-dementia-specific information and effective coping strategies. Barriers included lack of dementia training for healthcare staff, stigma, and limited resources specific to comorbid cancer-dementia. Facilitators included healthcare professionals getting to know the PWCD, involvement of multidisciplinary teams, and person-centred approaches.</p> Conclusion <p>These findings highlight a need for more research regarding this comorbidity and the SCNs of PWCD and their caregivers, particularly in countries outside the U.K and a need for more cancer-dementia specific services and information.</p> Implications for Cancer Survivors <p>Cancer survivors with dementia face elevated risks of unmet needs and poorer care experiences. Addressing these gaps through dementia-informed, integrated care and caregiver support interventions may enhance quality of life and treatment outcomes. These findings provide actionable guidance for policy, clinical practice, and future research.</p>

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Supportive care needs of people with comorbid cancer and dementia and their caregivers: a qualitative meta-synthesis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月16日

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  • Jane Gaffey,
  • Simon Dunne,
  • Ciara Buckley,
  • Marie Therese Cooney,
  • Louise Hopper

摘要

Purpose

The supportive care needs (SCNs) of people with comorbid cancer and dementia (PWCD) and their caregivers, as well as the barriers and facilitators to meeting those needs, represent an important and under-researched area. This review aimed to systematically examine the SCNs of PWCD and their caregivers, and to identify the barriers and facilitators to these needs being met.

Method

Systematic searches were performed on CINAHL, Medline, PsychINFO, Embase, and Web of Science, and included both controlled vocabulary and free text terms. This study employed thematic synthesis to analyse extracted data.

Results

Of 3095 records identified, 11 studies met inclusion criteria. SCNs for PWCD included dementia-inclusive care, continuity of care, and tailored communication. Caregiver SCNs included access to cancer-dementia-specific information and effective coping strategies. Barriers included lack of dementia training for healthcare staff, stigma, and limited resources specific to comorbid cancer-dementia. Facilitators included healthcare professionals getting to know the PWCD, involvement of multidisciplinary teams, and person-centred approaches.

Conclusion

These findings highlight a need for more research regarding this comorbidity and the SCNs of PWCD and their caregivers, particularly in countries outside the U.K and a need for more cancer-dementia specific services and information.

Implications for Cancer Survivors

Cancer survivors with dementia face elevated risks of unmet needs and poorer care experiences. Addressing these gaps through dementia-informed, integrated care and caregiver support interventions may enhance quality of life and treatment outcomes. These findings provide actionable guidance for policy, clinical practice, and future research.